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Superior Facet Joint Violations during Single Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Preliminary Retrospective Clinical Study
المؤلفون المشاركون
Khan, Kamran
Zhu, Rui
Zeng, Zhi-li
Cheng, Li-ming
Jia, Long
Yu, Yan
Li, Fuping
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-03-05
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
Facet joint violation (FV) was reported as variable iatrogenic damage that can be a crucial risk factor leading to the adjacent segment degeneration (ASD).
“Blind” screw placement technique in minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) contributes to the increasing incidence of FV that can be influenced by several potential factors.
Many controversies about these factors and clinical outcomes of different types of FV patients exist, yet they have not been analyzed.
Methods.
99 cases undergoing single-segment MIS-TLIF from July 2013 to December 2015 were retrospectively analyzed.
Computed tomography (CT) was applied to determine the incidence of FV, and then the correlation between FV and relevant factors, including gender, age, body mass index (BMI), top-screw level, and decompression, was analyzed.
A total of 53 cases were followed up after one year, 31 cases in noninjury (A group) and 22 patients in FV injury (B group).
Results.
The incidence of FV was 39.
39% (39/99) in the patients and 23.23% (46/198) in the screws.
Logistic regression analysis showed that screw at L5 in patients with BMI > 30 kg/m2 was vulnerable to FV (P<0.05).
Moreover, postoperative average intervertebral disc height (AIDH) of fusion segment, visual analog scale (VAS), and Oswestry disability index (ODI) scores improved significantly in group A and B when compared with preoperative data (P<0.05).
Adjacent superior average intervertebral disc height (ASAIDH) presented decrease, but adjacent superior intervertebral disc Cobb angle (ASIDCA) appeared to increase in the two groups at the final follow-up compared with postoperative 3 days (P<0.05).
Low back VAS and ODI scores in group A (31 cases) were lower than those in group B (22 cases) in the final follow-up (P<0.05).
Conclusion.
MIS-TLIF is an effective treatment for lumbar degenerative disease, but FV occurred at a higher incidence.
Facet joints should be protected in MIS-TLIF to avoid FV.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Jia, Long& Yu, Yan& Khan, Kamran& Li, Fuping& Zhu, Rui& Zeng, Zhi-li…[et al.]. 2018. Superior Facet Joint Violations during Single Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Preliminary Retrospective Clinical Study. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1127726
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Jia, Long…[et al.]. Superior Facet Joint Violations during Single Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Preliminary Retrospective Clinical Study. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1127726
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Jia, Long& Yu, Yan& Khan, Kamran& Li, Fuping& Zhu, Rui& Zeng, Zhi-li…[et al.]. Superior Facet Joint Violations during Single Level Minimally Invasive Transforaminal Lumbar Interbody Fusion: A Preliminary Retrospective Clinical Study. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1127726
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1127726
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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